Individual
DR. JAY KANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2480 WINDY HILL RD SE STE 405, MARIETTA, GA 30067-8658
(770) 952-0136
Mailing address
2480 WINDY HILL RD SE STE 405, MARIETTA, GA 30067-8658
(770) 952-0136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013686
GA
Other
Enumeration date
06/14/2007
Last updated
05/20/2013
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